| NPI | 1184012965 |
|---|---|
| Professional Name | DBA PROGRESSIVE LIVING INSTITUTE, LLC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2022-08-29 |